Provider Demographics
NPI:1316997018
Name:SUBBARAYA, VIDYARANI (MD)
Entity type:Individual
Prefix:DR
First Name:VIDYARANI
Middle Name:
Last Name:SUBBARAYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 MAPLETON AVE STE 100A
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1561
Mailing Address - Country:US
Mailing Address - Phone:302-203-2440
Mailing Address - Fax:302-203-2461
Practice Address - Street 1:735 MAPLETON AVE STE 100A
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1561
Practice Address - Country:US
Practice Address - Phone:302-203-2440
Practice Address - Fax:302-203-2461
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006610207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1316997018Medicaid
DE1316997018Medicaid